Ko Kai-Ting, Yu Shu-Han, Lee Chun-Yi, Tseng Han-Yun, Chiu Yen-Feng, Hsiung Chao A
Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan.
Aesthetic-Mind Clinic, Taichung, Taiwan.
Psychogeriatrics. 2018 Sep;18(5):379-387. doi: 10.1111/psyg.12332. Epub 2018 Jul 10.
Maintaining older adults' ability to function independently in the community is a critically important public health concern. One of the most common symptoms threatening that ability is pain. Depression is a common co-occurring symptom in older adults with pain. In the present study, we determined the moderating effect of depression on the association between pain and functional limitations.
Data were from the Healthy Aging Longitudinal Study in Taiwan, a population-based study of community-dwelling older adults in Taiwan (N = 2680). All data were collected by face-to-face interviews. Sociodemographic and health-related factors along with the location and severity of pain were collected. Functional limitation was assessed using the Barthel Index of Activities of Daily Living, whereas depression was assessed using the Center for Epidemiologic Studies Depression Scale.
Pain presence was not significantly associated with functional limitation, but overall pain severity and number of pain sites were. Depressive older adults exhibited a stronger association of pain and functional limitation.
Depression moderates the relation between pain and functional limitation. This knowledge may be valuable in developing effective public health and clinical management strategies to reduce functional limitation in older adults.
维持老年人在社区中独立生活的能力是一个极其重要的公共卫生问题。威胁这种能力的最常见症状之一是疼痛。抑郁症是老年疼痛患者中常见的并发症状。在本研究中，我们确定了抑郁症对疼痛与功能受限之间关联的调节作用。
数据来自台湾健康老龄化纵向研究，这是一项针对台湾社区居住老年人的基于人群的研究（N = 2680）。所有数据均通过面对面访谈收集。收集了社会人口学和健康相关因素以及疼痛的部位和严重程度。功能受限使用巴氏日常生活活动指数进行评估，而抑郁症使用流行病学研究中心抑郁量表进行评估。
疼痛的存在与功能受限无显著关联，但总体疼痛严重程度和疼痛部位数量与之相关。抑郁的老年人表现出疼痛与功能受限之间更强的关联。
抑郁症调节疼痛与功能受限之间的关系。这一认识对于制定有效的公共卫生和临床管理策略以减少老年人的功能受限可能具有重要价值。
